医学
急性呼吸窘迫综合征
急性呼吸窘迫
重症监护医学
肺
放射科
弥漫性肺泡损伤
呼吸窘迫
内科学
作者
Maurizio Cereda,Yi Xin,Alberto Goffi,Jacob Herrmann,David W. Kaczka,Brian P. Kavanagh,Gaetano Perchiazzi,Toyohiko Yoshida,Rahim R. Rizi
出处
期刊:Anesthesiology
[Ovid Technologies (Wolters Kluwer)]
日期:2019-09-01
卷期号:131 (3): 716-749
被引量:26
标识
DOI:10.1097/aln.0000000000002583
摘要
Abstract Acute respiratory distress syndrome (ARDS) consists of acute hypoxemic respiratory failure characterized by massive and heterogeneously distributed loss of lung aeration caused by diffuse inflammation and edema present in interstitial and alveolar spaces. It is defined by consensus criteria, which include diffuse infiltrates on chest imaging—either plain radiography or computed tomography. This review will summarize how imaging sciences can inform modern respiratory management of ARDS and continue to increase the understanding of the acutely injured lung. This review also describes newer imaging methodologies that are likely to inform future clinical decision-making and potentially improve outcome. For each imaging modality, this review systematically describes the underlying principles, technology involved, measurements obtained, insights gained by the technique, emerging approaches, limitations, and future developments. Finally, integrated approaches are considered whereby multimodal imaging may impact management of ARDS.
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